Active NPIIndividual providerSole proprietor

Kelly A Perez, PMHNP

Nurse Practitioner, Psych/Mental Health in Fanwood, New Jersey

NPI Number1528802220
Practice location
193 Terrill RD, Fanwood, NJ 07023-1055
Fax
—
Last updated
June 19, 2025

Kelly Ann Perez is a Nurse Practitioner, Psych/Mental Health based in Fanwood, NJ. Kelly Ann Perez practices in Fanwood, NJ and has the professional credentials of PMHNP. The NPI Number for Kelly Ann Perez is 1528802220 and holds a License No. 26NR11463600 (NJ). The current practice location address for Kelly Ann Perez is 193 Terrill RD, Fanwood, NJ 07023-1055 and can be reached out via phone at 908-258-9524.

Provider Profile Details

NPI Number
1528802220
Provider Name
Kelly Ann Perez
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
193 Terrill RD, Fanwood, NJ 07023-1055
Phone Number
908-258-9524
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2024
Last Update Date
June 19, 2025
Certification Date
June 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Terrill RD
Fanwood, NJ 07023-1055
Zip
07023-1055
Phone Number
908-258-9524
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
193 Terrill RD
Fanwood, NJ 07023-1055
City
Fanwood
State
NJ
Zip
07023-1055
Phone Number
908-258-9524

License Information

License Number (1)
26NR11463600
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ15092100
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly A Perez, PMHNP?

The NPI number of Kelly A Perez, PMHNP is 1528802220. It was assigned on June 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Kelly A Perez, PMHNP?

Kelly A Perez, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR11463600.

Where does Kelly A Perez, PMHNP practice?

The practice location is 193 Terrill RD, Fanwood, NJ 07023-1055. The office can be reached at 908-258-9524 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528802220 directly on the NPPES registry website.

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